Individual provider Active NPI

Lauren Nicole Miller, MS CCC-SLP

  • Speech-Language Pathologist
  • Frankfort, IL
National Provider Identifier
1205352150
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14130781 Issued in IL
Practice address
4 Church CT
Frankfort, IL 60423-1606
Phone
(708) 921-2007
NPI assigned
Aug 22, 2017
Last updated
May 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14130781 IL Primary

Addresses

Primary practice location

4 Church CT
Frankfort, IL 60423-1606

Mailing address

4 Church CT
Frankfort, IL 60423-1606
Phone (708) 921-2007

Other practice location 1

905 Lily Cache Ln
Bolingbrook, IL 60440-3100
Phone (630) 759-7200 ext. 6365

Other identifiers 1

IdentifierTypeStateIssuer
124218MedicaidIL

Other names 1

  • Lauren Nicole Normoyle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14130781ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
LM Speech & Language Therapy P.C. Speech-Language Pathologist Past Accepting new patients
Talk That Talk Speech & Language Therapy LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1205352150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CHURCH CT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231606",
            "telephone_number": "708-921-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CHURCH CT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231606",
            "telephone_number": "708-921-2007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Lily Cache Ln",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604403100",
            "country_code": "US",
            "telephone_number": "630-759-7200 x6365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "14130781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124218",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "NORMOYLE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.